Individual
KIMBERLY WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
27 ROSEBANK AVE, KENTFIELD, CA 94904-1628
(208) 720-6769
Mailing address
27 ROSEBANK AVE, KENTFIELD, CA 94904-1628
(208) 720-6769
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 12868
CA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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